Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Facility		$602.56	$602.56	$602.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $2,041.74 / $15,848.93	Facility		$1,230.27	$2,041.74	$15,848.93
Molina Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $2,398.83 / $5,011.87	Facility		$1,071.52	$2,398.83	$5,011.87
Quartz Facility/Professional Facility Modifier Low / Median / High Price $13,803.84 / $13,803.84 / $13,803.84	Facility		$13,803.84	$13,803.84	$13,803.84